Quick Reference Guide

1. ClearLift - High Power Nd:YAG

Q-Switch 1064nm
ClearLift 4D
• Skin Remodeling

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters:

Pulse Accumulative Treatment

Skin Gauged Energy Waiting
Indication Repetition Energy Area Grid
Type Tip (mJ) Period
Rate (Hz) Joules/Grid* (cm )
2

Deep 15 - 30
I – VI (-2) , (-1) 3 1800-2400 500 20
Wrinkles hours
Photoaging / 15 - 30
I – VI (+1) , (+2) 3 1800-2400 500 20
pigmentation hours
15 - 30
I – VI Skin Laxity (0) 3 1800-2400 500 20
hours
(*) per 20 cm2 area

• Slow movement inside the grid area while stacking several times
• End point: Mild local Erythema, no of treatments:3-5, Treatment intervals:2-3 weeks
• Caution: The appropriate optical density of protective eyewear for patient and
operator is: OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

2
Suggested Treatment Parameters:
Pulse Treatment
Skin Gauged Energy Accumulative Energy
Indication Repetition Area Grid
Type Tip (mJ) Joules/Grid*
Rate (Hz) (cm2)

I – VI Deep Wrinkles (-2) , (-1) 3 1800-2400 800-1000 20

I – VI Photoaging /
pigmentation (+1) , (+2) 3 1800-2400 600 20

I – VI Skin Laxity (0) 3 1800-2400 800-1000 20

(*) per 20 cm2 area

• Slow movement inside the grid area while stacking several times
• End point: Mild local Erythema, no of treatments:3-5, Treatment intervals:2-3 weeks
• Caution: The appropriate optical density of protective eyewear for patient and
operator is: OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

3
2. H igh Power Nd:YAG Q-Switch
1064/532nm Module
1-5mm and CVD tip
• Tattoo Removal (Q-Switch 1064nm) - Blue, Black
• Tattoo Removal (Q-Switch 532nm) - Red

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters Q-Switch 1064nm:
Pulse
Spot Size
Skin Type Repetition Energy (mJ) Waiting Period
(mm)
Rate (Hz)

I - VI 1, 2, 3 mm 1, 2, 3 600 - 700 24 - 48 hours

I - VI 4, 5, 6mm 1, 2, 3 700 - 800 24 - 48 hours

Suggested treatment parameters Q-Switch 1064nm:

Pulse Repetition
Skin Type Spot Size Energy (mJ/P)
Rate (Hz)

I - VI 1, 2, 3 1, 2, 3 600 - 1000

I - VI 4, 5, 6 1, 2, 3 700 - 1200

• End point: whitening of the tattoo, no of treatments 8-12, treatment intervals;

8-12weeks
• For 1064nm Nd:YAG - The appropriate optical density of proitective eyewear for
patient and operator is : OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

4
Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters Q-Switch 532nm:
Pulse
Skin Type Spot Size (mm) Repetition Energy (mJ) Waiting Period
Rate (Hz)

I - III 2, 3, 4 1, 2, 3 600 24 - 48 hours

IV - VI 2, 3, 4 1, 2, 3 600 24 - 48 hours

Suggested Treatment Parameters Q-Switch 523nm:

Pulse Repetition
Skin Type Spot Size Energy (mJ/P)
Rate (Hz)

I - III 2, 3, 4 1, 2, 3 800 - 1100

IV - VI 2, 3, 4 1, 2, 3 700 - 1000

• End point: whitening of the tattoo, no of treatments 8-12, treatment intervals;

8-12weeks
• Caution: for 532nm ktp - The appropriate optical density of proitective eyewear for
patient and operator is : OD5+
• F or detailed information, please refer to the Harmony XL PRO Operator’s Manual

5
3. Er:YAG 2940nm Module
7X7 pixel tip
• Skin Resurfacing
• Wrinkles
• Keratose

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters:

Energy Frequency Number of

Skin Type Pulse Mode
(mJ/Pulse) (Hz) Passes / Stacks

I-III 1800 L 2*, 4** 1-2

IV 1600 L 2*, 4** 1-2

V 1400 L 2*, 4** 1-2

Suggested Treatment Parameters:

Number of
Skin Type Energy (mJ/P) Pulse Mode Frequency (Hz)
Passes/Stacks*

I-III 2500 L 2*, 4** 1-3/2-6

IV 2000 L 2*, 4** 1-3/2-6

V 1800 L 2*, 4** 1-3/2-6

(*) Stack Mode

(**) Non Stake Mode

• Note: 7X7 matrix=49 pixels=51mJ/Pixel •C  aution: The appropriate optical density

• End point: Erythema of protective eyewear for patient and
operator is : OD6+
• No. of treatments: 2-4
• For detailed information, please refer to
• Treatment intervals: 3-4 weeks
the Harmony XL PRO Operator’s Manual
• Recommended to use a suction device

6
4. Er:YAG 2940nm Module
1mm, 4mm tips
• Skin Resurfacing
• Wrinkles
• Keratose

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters:

Fluence Frequency
Skin Type Mode Tip Size Intensity
(mJ/Pulse) (Hz)

I - IV Short 1mm,4mm Mild 800 4

I - IV Medium 1mm,4mm Moderate 1200 4

I - IV Long 1mm,4mm Aggressive 1800 4

Suggested Treatment Parameters:

Energy Frequency
Skin Type Mode Tip Size Intensity
(mJ/Pulse) (Hz)

I - IV Short 1mm,4mm Mild Up to 1000 4

I - IV Medium 1mm,4mm Moderate Up to 1600 4

I - IV Long 1mm,4mm Aggressive Up to 2500 4

• End point: Erythema

• No. of treatments: 2-4
• Treatment intervals: 4-6 weeks
• Recommended to use a suction device
• Caution: The appropriate optical density of protective eyewear for patient and
operator is:OD6+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

7
5. Er:YAG 2940nm Module
Pixel roller 1X7 tip
• Skin Resurfacing
• Scar Revisions

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters:
Energy Number of
Intensity Skin Type Pulse Mode
(mJ/Pulse) Passes
Mild I - IV 600 Medium 1 (XY)
Moderate I - IV 700 Medium 1 (XY)
Aggressive I - IV 800 Medium 1 (XY)

Suggested Treatment Parameters:

Waiting
Skin Energy Pulse Number of Overlapping Interval
Intensity Between
Type (mJ/P) Mode Passes* (%)
Passes
I - III Up to 600 Short 1 - 2 (XY) 20 - 50 Mild
IV Up to 600 Short 1 (XY) 20 - 50 Mild
I - III Up to 800 Medium 1 - 2 (XY) 20 - 50 Moderate
5 - 10 sec.
IV Up to 800 Medium 1 (XY) 20 - 50 Moderate
I - III Up to 1000 Long 1 - 2 (XY) 20 - 50 Aggressive
IV Up to 1000 Long 1 (XY) 20 - 50 Aggressive
(*)The number of passes or stacks depends on the desired level of penetration i.e.,
the greater the penetration, the greater the number of passes/stacks.

• Note: 7X1 matrix = 7 pixels • Caution: The appropriate optical density

• End point: Erythema of protective eyewear for patient and
operator is: OD6+
• No. of treatments :2-4
• For detailed information, please refer to
• Treatment intervals: 3-4 weeks
the Harmony XL PRO Operator’s Manual

8
6. Cooled Laser Long Pulsed Nd:YAG
1064nm Module
6mm, 2mm tips
• Vascular Lesions

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters for Vascular Lesions:
Skin Type Pulse Width Fluence
Tip Size Waiting Period
(Fitzpatrick I-VI) (msec) (J/cm2)
6 mm 12, 15, 45 80 - 100 2 - 4 hours
I - III
2 mm 10 200 2 - 4 hours
6 mm 12, 15, 45 60 - 80 48 - 72 hours
IV - VI
2 mm 10 150 48 - 72 hours

Suggested Treatment Parameters for Vascular Lesions:

Skin Type
Target Vessel Fluence Pulse Width
(Fitzpatrick Tip Size
Depth (J/cm2) (msec)
I-VI)
I - III Deep 6 mm Up to 150 12, 15, 45
I - III Superficial 2 mm Up to 350 10
IV - VI Deep 6 mm Up to 120 12, 15, 45
IV - VI Superficial 2 mm Up to 250 10

• End point: Edema, vasospasm • Caution: The appropriate optical density

• No. of treatments: 6-8 of protective eyewear for patient and
operator is: OD7+
• Treatment intervals: 4-8 weeks
• For detailed information, please refer to
the Harmony XL PRO Operator’s Manual

9
7. Cooled Laser Long Pulsed Nd:YAG
1064nm Module
6mm, 10mm tips
• Hair Removal

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters for Hair Removal:
Skin Type Pulse Width Fluence Waiting
Tip Size
(Fitzpatrick I-VI) (msec) (J/cm2) Period

I 6mm 15, 45 80 - 100 24 - 48 hours

II 6mm 15, 45 70 - 80 24 - 48 hours

III 6mm 15, 45 70 - 80 24 - 48 hours

6mm 15, 45 60 - 70 24 - 48 hours

IV
10mm 15 40 - 50 24 - 48 hours

10mm 15 40 - 50 24 - 48 hours
V
10mm 15 30 - 40 24 - 48 hours

10mm 15 40 - 50 24 - 48 hours
VI
10mm 15 30 - 40 24 - 48 hours

• End point: Peri follicular Erythema or Edema; no. of treatments 6-8, treatment
intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient and
operator is:OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

10
Suggested Treatment Parameters for Hair Removal:
Skin Type
Hair Color Fluence (J/cm2) Fluence (J/cm2)
(Fitzpatrick)

I Light/Dark Up to 150 15*, 45*

II Light/Dark Up to 150 15*, 45*

III Light/Dark Up to 150 15*, 45*

Up to 120
Light 15**, 45*
IV 40 - 50**
Dark 40 - 50** 15**
Light 40 - 50 15**
V
Dark 30 - 40 15**

Light 40 - 50 15**
VI
Dark 30 - 40 15**

(*) 6mm tip size

(**) 10mm tip size

• End point: Peri follicular Erythema or Edema; no. of treatments 6-8, treatment
intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient and
operator is:OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

11
8. Cooled Laser Long Pulsed Nd:YAG
1064nm Module
6mm tip
• Facial Wrinkles

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters for Facial Wrinkles:
Skin Type Pulse Width Fluence
Tip Size Waiting Period
(Fitzpatrick I-VI) (msec) (J/cm2)

I - III 45 80 - 100 2 - 4 hours

6 mm
IV - VI 45 60 - 80 24 - 48 hours

• End point: Erythema; no of treatments 6-8, treatment intervals; 4-8 weeks

• Caution: The appropriate optical density of protective eyewear for patient and
operator is: OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

12
Suggested Treatment Parameters for Facial Wrinkles:
Skin Type No. of Pulses Pulse Width
Tip Size Fluence (J/cm2)
(Fitzpatrick I-VI) per Spot (msec)

I - III 1 45 Up to 150
6 mm
IV - VI 1 45 Up to 120

• End point: Erythema; no of treatments 6-8, treatment intervals; 4-8 weeks

• Caution: The appropriate optical density of protective eyewear for patient and
operator is: OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

13
9. Clear Skin- Er:Glass 1540nm Module
4mm,10mm, 7x7 pixel tips
• Acne Vulgaris
• Acne Scar
• Skin Rejuvenation

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters - Acne Vulgaris:
Skin Type Pulse Number
Fluence Number Waiting
(Fitzpatrick Tip* Repetition of stacked
(mJ/P) of passes Period
I-VI) Rate (Hz) pulses

4mm 2, 3/Stack 3-4 400 - 500 2-3 15-30 min

I – III
10mm 2,3/Stack 3-4 600 - 800 2-3 15-30 min
4mm 2, 3/Stack 3-4 400 - 500 2-3 15-30 min
IV – VI
10mm 2,3/Stack 2-3 600 - 800 2-3 15-30 min
(*) Vacuum On

Suggested Treatment Parameters - Acne Vulgaris

Skin Type Pulse
Number of Fluence Number of
(Fitzpatrick Tip* Repetition
stacked pulses (mJ/P) passes
I-VI) Rate (Hz)

4mm 2, 3/stack 3-4 500 - 700 2-3

I - III
10mm 2, 3/stack 3-4 600 - 800 2-3
4 mm 2, 3/stack 3-4 400 - 600 2-3
IV - VI
10 mm 2, 3/stack 2-3 600 - 800 2-3
(*) Vacuum On

• End points (Acne Vulgaris and Acne Scars) : Mild Erythema; No. Of treatments: 4-6
Treatment Intervals: 1-3 weeks
• For Er:Glass-The appropriate optical density of protective eyewear for patient and
operator is: OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

14
Skin Test Parameters - Acne Scars / Skin Rejuvenation
Skin Type Pulse Number
Fluence Number Waiting
(Fitzpatrick Tip** Repetition of stacked
(mJ/P) of passes Period
I-VI) Rate (Hz) pulses

I – III 7x7 Pixel 3/Stack 6-8 800 - 1000 2-3 15-30 min

IV – VI 7x7 Pixel 3/Stack 6-8 700 - 900 2-3 15-30 min

(**) Vacuum Off

Suggested Treatment Parameters - Acne Scars / Skin Rejuvenation

Skin Type Pulse
Number of Fluence Number of
(Fitzpatrick Tip ** Repetition
stacked pulses (mJ/P) passes
I-VI) Rate (Hz )

I - III 7x7 Pixel 3 6-8 800 - 1000 2-3

IV – VI 7x7 Pixel 3 6-8 700 - 900 2-3

(**) Vacuum Off

• End points (Acne Vulgaris and Acne Scars) : Mild Erythema; No. Of treatments: 4-6
Treatment Intervals: 1-3 weeks
• For Er:Glass-The appropriate optical density of protective eyewear for patient and
operator is: OD7+
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

15
10. DYE-VL Pro Module (500-600nm)
• Vascular Lesions
• Pigmented Lesions

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters - DYE-VL Mode (Stationary Mode)
Ultrasonic gel must be applied to the skin

Fitzpatrick Pulse Width Fluence

Cooling (%) Waiting Period
Skin Type (msec) (J/cm2)

I - III 10, 12 75/100 10 - 12 30 min

IV 12, 15 75/100 6-9 48 hours

Suggested Treatment Parameters - DYE VL Mode (Stationary Mode)

Ultrasonic gel must be applied to the skin
Fitzpatrick Pulse Width
Cooling (%) Fluence (J/cm2)
Skin Type (msec)
I - III 10, 12 75/100 10 - 13
IV 12, 15 75/100 6 - 10

• E nd point: vessel discoloring, vessel shrinking or blanching; mild Erythema; darkening

of the pigmented lesions. No. of treatments: 3-6; Treatment intervals: 2-3 weeks
•C  aution: The appropriate optical density of protective eyewear for patient is: OD 5 + and
for operator: OD 3 +
• F or detailed information, please refer to the Harmony XL PRO Operator’s Manual

16
Skin Test Parameters - DYE-SSR Mode (In Motion Mode)
Ultrasonic gel must be applied to the skin

Skin Type Fluence Interval time Total Energy

Cooling (%)
(Fitzpatrick I-VI) (J/cm2) (sec) [kJ]*

I-IV 3-4 30 75/100 2.4 - 3.2

III 2-3 30 75/100 1.6 - 2.4
IV 2 30 75/100 1.6

Suggested Treatment Parameters - DYE SVL Mode (In Motion Mode)

Ultrasonic gel must be applied to the skin

Skin Type Fluence Interval time Total Energy

Cooling (%)
(Fitzpatrick I-VI) (J/cm2) (sec) [kJ]*

I-IV 3-4 30 75/100 3.2 - 4.3

III 2-3 30 75/100 2.1 - 3.2
IV 2 30 75/100 2.1
(*) The total energy is adjusted for 10x10 cm (100cm2) area.

• End point: vessel discoloring, vessel shrinking or blanching; mild Erythema; darkening
of the pigmented lesions. No. of treatments: 3-6; Treatment intervals: 2-3 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 + and
for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

17
11. DYE SR Pro Module (550-650nm)
• Vascular Lesions
• Pigmented Lesions

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters - SR Mode (Stationary Mode)
Ultrasonic gel must be applied to the skin

Fitzpatrick Pulse Width Fluence

Cooling (%) Waiting Period
Skin Type (msec) (J/cm2)

I - III 10, 12 75/100 11 - 13 30 min

IV 12, 15 75/100 7 - 10 48 hours
V 15 75/100 5-7 48 hours

Suggested Treatment Parameters - SR Mode (Stationary Mode)

Ultrasonic gel must be applied to the skin

Fitzpatrick
Pulse Width (msec) Cooling (%) Fluence (J/cm2)
Skin Type

I - III 10, 12 75/100 11 - 14

IV 12, 15 75/100 8 - 11
V 15 75/100 5-7

• E nd point: vessel discoloring, vessel shrinking or blanching; mild Erythema; darkening of

the pigmented lesions. No. of treatments: 3-6; treatment intervals: 2-3 weeks
•C  aution: The appropriate optical density of protective eyewear for patient is: OD 5 + and
for operator: OD 3 +
• F or detailed information, please refer to the Harmony XL PRO Operator’s Manual

18
Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters - DYE-SSR Mode (In Motion Mode)
Ultrasonic gel must be applied to the skin

Fitzpatrick Fluence Interval time Total Energy

Cooling (%)
Skin Type (J/cm2) (sec) [kJ]*
I - II 3-4 30 75/100 2.4 - 3.2
III 2-3 30 75/100 1.6 - 2.4
IV 2 30 75/100 1.6
V 1-2 30 75/100 0.8 - 1.6

Suggested Treatment Parameters - SSR Mode (In Motion Mode)

Ultrasonic gel must be applied to the skin

Fitzpatrick Fluence Interval time Total Energy

Cooling (%)
Skin Type (J/cm2) (sec) [kJ]*
I - II 3-4 30 75/100 3.2 - 4.3
III 2-3 30 75/100 2.1 - 3.2
IV 2 30 75/100 2.1
V 1-2 30 75/100 1.0 - 2.1
(*) The total energy is adjusted for 10x10 cm (100cm2) area.

• End point: vessel discoloring, vessel shrinking or blanching; mild Erythema; darkening of
the pigmented lesions. No. of treatments: 3-6; treatment intervals: 2-3 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 + and
for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

19
12. S PEED AFT (6.4 cm²)
SHR MODE
• Hair Removal

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Suggested Skin Test Parameters:
Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling [On/Off] Total Energy [kJ]*
(Fitzpatrick I-VI)

I 7 On 12
II 7 On 12
III 7 On 12
IV 6 On 12
V 5 On 12
VI 5 On 12

(*) In-Motion technique; the total energy is adjusted for 10x30 cm (~300cm2) area

• End point: Perifollicular, Erythema and Edema, no. of treatments 6-10, treatment
intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD
5 + and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

20
Suggested Treatment Parameters:
Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling [On/Off] Total Energy [kJ]*
(Fitzpatrick I-VI)

I 7 On 12 - 15
II 7 On 12 - 15
III 7 On 12 - 15
IV 6 On 12 - 15
V 5 On 12 - 15
VI 6 On 12 - 15
(*) The total energy is adjusted for 10x30 cm (~300cm2) area

• End point: Perifollicular, Erythema and Edema, no. of treatments 6-10, treatment
intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD
5 + and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

21
13. S PEED AFT (6.4 cm²)
HR MODE
• Hair Removal

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Suggested Skin Test Parameters:
Ultrasonic gel must be applied to the skin

Skin Type
Pulse Width (msec) Fluence (J/cm2) Waiting Period
(Fitzpatrick I-VI)

I 30 15 30 minutes
II 30 15 30 minutes
III 40 12 30 minutes
IV 50 9 24 – 48 hours
V 50 7 24 – 48 hours
VI 50 5 24 – 48 hours

• End point: Perifollicular, Erythema and Edema, no. of treatments 6-10, treatment intervals;
4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 + and
for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

22
Suggested Treatment Parameters:
Ultrasonic gel must be applied to the skin

Skin Type
Hair Color Fluence (J/cm2) Pulse Width (msec)
(Fitzpatrick I-VI)

Light 15 – 20 30
I
Dark 13 – 18 30
Light 15 – 20 30
II
Dark 13 – 18 30
Light 15 – 20 40
III
Dark 12 – 17 40
Light 15 – 17 40
IV
Dark 10 – 15 50
Light Up to 15 50
V
Dark Up to 13 50
Light* N/A N/A
VI
Dark Up to 12 50

(*) It is not recommended to treat hair that is lighter than the surrounding skin.

• End point: Perifollicular, Erythema and Edema, no. of treatments 6-10, treatment intervals;
4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 + and
for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

23
14. AFT Cooled SHR Pro Module (5cm2)
SHR MODE
• Hair Removal

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Suggested Skin Test Parameters:
Ultrasonic gel must be applied to the skin

Skin Type Fluence Intervals Time Cooling Total Energy

(Fitzpatrick I-VI) (J/cm2) (sec) (%) [kJ]*

I 7 30 100 10.0
II 7 30 100 10.0
III 7 30 100 10.0
IV 6 30 100 10.0
V 5 30 100 10.0
VI 5 30 100 10.0

(*) The total energy is adjusted for 15x10 cm (150cm ) 2

• End point: Perifollicular Erythema and Edema, no. of treatments 6-10 ,treatment
intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

24
Suggested Treatment Parameters:
Ultrasonic gel must be applied to the skin

Skin Type Fluence Intervals Time Cooling Total Energy

(Fitzpatrick I-VI) (J/cm2) (sec) (%) [kJ] *

I 7 30 100 10.0 - 13.0

II 7 30 100 10.0 - 13.0
III 7 30 100 10.0 - 13.0
IV 6 30 100 10.0 - 13.0
V 5 30 100 10.0 - 13.0
VI 5 30 100 10.0 - 13.0

(*) The total energy is adjusted for 15x10 cm (150cm2)

• End point: Perifollicular Erythema and Edema, no. of treatments 6-10 ,treatment
intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

25
15. A
 FT Cooled SHR Pro Module (5cm2)
HR MODE
• Hair Removal

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Suggested Skin Test Parameters:
Ultrasonic gel must be applied to the skin

Skin Type Pulse Width Fluence Waiting

Cooling (%)
(Fitzpatrick I-VI) (msec) (J/cm2) Period

I 30 100 15 30 minutes
II 30 100 15 30 minutes
III 40 100 12 30 minutes
IV 50 100 9 24 - 48 hours
V 50 100 7 24 - 48 hours
VI 50 100 5 24 - 48 hours

• End point: Perifollicular Erythema and Edema, no of treatments 6-10 , treatment

intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

26
Suggested Treatment Parameters:
Ultrasonic gel must be applied to the skin

Skin Type Cooling Fluence Pulse Width

Hair Color
(Fitzpatrick I-VI) (%) (J/cm2) (msec)

Light 100 15 - 20 30
I
Dark 100 13 - 18 30
Light 100 15 - 20 30
II
Dark 100 13 - 18 30
Light 100 15 - 20 40
III
Dark 100 12 - 17 40
Light 100 15 - 17 40
IV
Dark 100 10 - 15 50
Light 100 Up to 15 50
V
Dark 100 Up to 13 50
Light* 100 N/A N/A
VI
Dark 100 Up to 12 50

(*) It is not recommended to treat hair that is lighter than the surrounding skin.

• End point: Perifollicular Erythema and Edema, no of treatments 6-10 , treatment

intervals; 4-8 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

27
16. AFT cooled SSR Module
• Skin Rejuvenation
• Vascular Lesions
• Pigmented Lesions

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Suggested Skin Test Parameters:
Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling [%] Total Energy [kJ]*
(Fitzpatrick I-VI)

I - II 3-4 75/100 2.4 - 3.2

III 2-3 75/100 1.6 - 2.4
IV 2 75/100 1.6

Suggested Treatment Parameters:

Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling [%] Total Energy [kJ]*
(Fitzpatrick I-VI)

I - III 8 - 10 75/100 5.4 - 6.3

IV 7-9 75/100 5.4 - 6.3

V - VI 6-8 75/100 5.4 - 6.3

(*) The total energy is adjusted for 10x10 cm (100cm ) area.

2

• End point: Mild vessel discoloring, vessel shrinking or blanching; mild Erythema;
darkening of the pigmented lesions. no of treatments: 3-6;
• Treatment intervals: 2-3 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

28
17. AFT Acne Module
• Mild to Moderate Acne Vulgaris

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters-Stationary Mode
Ultrasonic gel must be applied to the skin

Skin Type Pulse Width

Fluence ( J/cm2)* Waiting Period
(Fitzpatrick I-VI) (msec)

I - III 30,40 6-8 30 min

VI -IV 50 5 60 min

Suggested Treatment Parameters - Stationary Mode

Ultrasonic gel must be applied to the skin

Skin Type
Pulse Width ( msec) Fluence ( J/cm2)*
( Fitzpatrick I-VI)

I - III 30,40 8-10

VI -IV 40,50 7-8

(*) 2 passes per treated area.

• End point: Mild Erythema, no. of treatments: 12-16

• Treatment intervals: 72h between treatments
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

29
18. AFT Cooled SST Module
• Cutaneous Lesions
• Scars and Striae
• Wrinkles Reduction
• Skin Tightening

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Skin Test Parameters - FACE
Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling (%) Total Energy [kJ]*
(Fitzpatrick I-VI)

I - III 3.5 75/100 16.2

IV 3.2 75/100 16.2

V - VI 2.8 75/100 16.2

(*) T he number of cycles and the total energy are adjusted for a 10x15 cm (150cm2) area
using In Motion technique

Suggested Treatment Parameters- FACE

Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling (%) Total Energy [kJ]*
(Fitzpatrick I-VI)

I - III 3.5 75/100 16.2-22.2

IV 3.2 75/100 16.2-22.2

V - VI 2.8 75/100 16.2-22.2

(*) The number of cycles and the total energy are adjusted for a 10x15 cm (150cm2) area
using In Motion technique

• End point: Erythema, no. of treatments 4-6 ,treatment intervals; 3-4 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator's Manual

30
Skin Test Parameters - BODY
Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling (%) Total Energy [kJ]*
(Fitzpatrick I-VI)

I - III 3.5 75/100 17.4

IV 3.2 75/100 17.4

V - VI 2.8 75/100 17.4

(*) T he number of cycles and the total energy are adjusted for a 10x15 cm (150cm2) area
using In Motion technique

Suggested Treatment Parameters- BODY

Ultrasonic gel must be applied to the skin

Skin Type
Fluence (J/cm2) Cooling(%) Total Energy [kJ]*
(Fitzpatrick I-VI)

I - III 3.5 75/100 17.4 - 23.4

IV 3.2 75/100 17.4 - 23.4

V - VI 2.8 75/100 17.4 - 23.4

(*) T he number of cycles and the total energy are adjusted for a 10x15 cm (150cm2) area
using In Motion technique

• End point: Erythema, no. of treatments 4-6 ,treatment intervals; 3-4 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3 +
• For detailed information, please refer to the Harmony XL PRO Operator's Manual

31
19. NIR (Near Infrared) Body Module
• Muscles and Joints Pain Relief

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Apply treatment oil to the skin

Suggested setup
Body Skin Test Parameters
parameters
Skin Type Power Body area Total Energy Power Total Energy
( Fitzpatrick I-VI) setting (W) (cm2) (kj) Setting (w) (kj)
I 50-60 450 3.0-3.6 50-70 36-63
II 50-60 450 3.0-3.6 50-70 36-63
III 50-60 450 3.0-3.6 50-70 36-63
VI 50-60 450 3.0-3.6 50-70 36-63
V 50 450 2.4-3.0 50-70 30-50
IV 50 450 2.4-3.0 50-70 30-50

Suggested setup
Dorsal Hand Skin Test Parameters
parameters
Skin Type Power Total Energy Power Total Energy
Area (cm2)
(Fitzpatrick I-VI) setting (W) (kj) Setting (w) (kj)
I 50-60 60-100 3.0-3.6 60-70 16-18
II 50-60 60-100 3.0-3.6 60-70 16-18
III 50-60 60-100 3.0-3.6 60-70 16-18
IV 50-60 60-100 3.0-3.6 50-60 13-15
V 50 60-100 2.4-3.0 50-60 13-15
VI 50 60-100 2.4-3.0 50-60 13-15
* T he NIR module must be used In -Motion utilizing large brush strokes
* I f the patient is experiencing an uncomfortable level of heat, stop lasing for 5-10 second
and then continue treatment
*R  each the therapeutic temperature of 40-44c before recording total energy
* Apply treatment oil to the skin
• End points: mild Erythema
• No. of treatments: 4-6
• Treatment intervals: 2 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3.
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

32
20. NIR (Near Infrared) Face Module
• Muscles and Joints Pain Relief

Always perform a skin test on the intended treatment before the first
treatment session according to the skin test parameters on the table below.
Apply treatment oil to the skin

Suggested setup
Face Skin Test Parameters
parameters

Time of
Skin Type Power Total Power Total
Exposure
(Fitzpatrick I-VI) setting (W) Energy (kj) Setting (w) Energy (kj)
(sec)

I 20-25 60 0.3-0.6 20-25 8-10

II 20-25 60 0.3-0.6 20-25 8-10

III 20-25 60 0.3-0.6 20-25 8-10

IV 20-22 80 0.3-0.6 20-24 8-10

V 18-20 90 0.3-0.6 20-22 8-10

VI 18-20 90 0.3-0.6 18-20 8-10

* The Nir module must be used In-Motion utilizing large sweeping brush strokes
* Face treatment area is 10x15 cm (150cm2)
* If the patient is experiencing an uncomfortable level of heat, stop lasing for 5-10 seconds and
then continue treatment
* Reach the therapeutic temperature of 40-44°c before recording total energy

• End points: mild Erythema

• No. of treatments: 4-6
• Treatments Intervals : every 2 weeks
• Caution: The appropriate optical density of protective eyewear for patient is: OD 5 +
and for operator: OD 3.
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

33
21. High Power UV Module
• Leukoderma-including Vitiligo
• Psoriasis
• Seborrheic Dermatitis
• Atopic Dermatitis (Eczema)

Always perform a MED on the intended treatment area a day or two before
the first treatment session according to the skin test parameters.

Skin MED Test Parameters:

Test spot Skin Type I-II Skin Type III-IV Skin Type V-VI Waiting period

1 2000 2100 2300 hours 24

2 2100 2200 2400 hours 24
3 2200 2300 2500 hours 24

Suggested Treatment Parameters:

Pulse Width
Skin Type Fluence Comments
(msec)
If there are no adverse effects, increase
I-II 30,40 MED X 0.9
fluence by 10-20% every 2-3 treatments
If there are no adverse effects, increase
III 30,40 MED X 0.8
fluence by 10-20% every 2-3 treatments
If there are no adverse effects, increase
VI-IV 50 MED X 0.7
fluence by 10-20% every 2-3 treatments

• No. of Treatment: 12-16

• Treatment Intervals: 72 hrs. between each treatment
• Note: When treating vitiligo and for re-pigmentation, reduce energy by 15%-20%.
• Caution: The appropriate optical density protective eyewear for patient and operator
is: 100% UV protection.
• For detailed information, please refer to the Harmony XL PRO Operator’s Manual

34
22. LED Module
• Topical Heating to Promote Increased Blood Flow
• Temporary Relaxation of Muscles
• Relief of Pain
• Reduction of Erythema

Before LED treatment procedures the patient should evaluated for the
presence of pre-existing conditions of skin disease that may cause skin
sensitivity or photosensitivity. The LED module can be operated in one of two
Modes: Continuous wave (CV) and Repeat (pulsed) wave.

Skin Test Parameters:

Skin Type Time of Exposure Waiting period
Mode*
(Fitzpatrick I-IV) (sec / min) (minutes)

VI 30/20 Repeat / CW 10

(*) Pulsed / cw

Suggested Setup Parameters

Time of Exposure
Skin Type (Fitzpatrick I-VI) Mode
(sec / min)

VI 30/20 Repeat / CW

• End points: vessel discoloring, vessel shrinking or blanching: reduction of Erythema

• No. of treatments: 3-6
• Treatments intervals : 2-3 weeks
• Caution: The appropriate optical density of protective eyewear for patient is:
OD 5 + and for operator: OD 3
• For detailed information, please refer to the Harmony XL PRO Operator's Manual

35
Alma Lasers GmbH
Nordostpark 100-102 90411 Nürnberg, Germany Connect with
Tel. + 49-911 / 89-11-29-0 Fax + 49-911 / 89-11-29-99 Alma Lasers
info@alma-lasers.de | www.alma-lasers.de
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All rights reserved. Alma Lasers, its logo, AFT, Alma, ClearLift,
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